Provider Demographics
NPI:1467851360
Name:ORR, KELLEE P (PT)
Entity Type:Individual
Prefix:
First Name:KELLEE
Middle Name:P
Last Name:ORR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8033 W GRANDRIDGE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7159
Mailing Address - Country:US
Mailing Address - Phone:509-783-2225
Mailing Address - Fax:509-783-1898
Practice Address - Street 1:8033 W GRANDRIDGE BLVD STE A
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7159
Practice Address - Country:US
Practice Address - Phone:509-783-2225
Practice Address - Fax:509-783-1898
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60462368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist